Intervertebral disc protrusion

Case contributed by Mohamed Saber
Diagnosis certain

Presentation

LBP with bilateral sciatica since a fall six months ago.

Patient Data

Age: 21
Gender: Male

Significant right postro-lateral disc protrusion is seen between L.V.4-5 with right L5 nerve root strong effacement, and to a lesser extent the contra-lateral left S1 nerve root sleeve.

MR changes of segmental degenerative spondylosis are seen along the above mentioned level of L.V.4-5

Manifest reduced intra-spinal diameters between L.V.1-5; notably that between L.V.4-5 disc space level.

An intra-osseous hemangioma of L.V.4 vertebral body

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